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ISA*00* *00* *ZZ*SUBMITTERS ID *ZZ*RECEIVERS ID *061015*1023*^*00501*000000905*1*T*:~
GS*HC*SENDERCODE*RECEIVERCODE*20061015*1023*905*X*005010X222A1~
ST*837*0021*005010X222A1~
BHT*0019*00*244579*20061015*1023*CH~
NM1*41*2*PREMIER BILLING SERVICE*****46*TGJ23~
PER*IC*JERRY*TE*3055550122*EX*231~
NM1*40*2*KEY INSURANCE COMPANY*****46*66783JJT~
HL*1**20*1~
PRV*BI*PXC*203BF0100Y~
NM1*85*2*BEN KILDARE SERVICE*****XX*9876543210~
N3*234 SEAWAY ST~
N4*MIAMI*FL*33111~
REF*EI*587654321~
NM1*87*2~
N3*2345 OCEAN BLVD~
N4*MIAMI*FL*33111~
HL*2*1*22*1~
SBR*P**2222-SJ******CI~
NM1*IL*1*SMITH*JANE****MI*JS00111223333~
N3*236 N MAIN ST~
N4*MIAMI*FL*33413~
DMG*D8*19430501*F~
NM1*PR*2*KEY INSURANCE COMPANY*****PI*999996666~
N3*3333 OCEAN ST~
N4*SOUTH MIAMI*FL*33000~
REF*G2*KA6663~
HL*3*2*23*0~
PAT*19~
NM1*QC*1*SMITH*TED~
N3*236 N MAIN ST~
N4*MIAMI*FL*33413~
DMG*D8*19730501*M~
CLM*26463774*100***11:B:1*Y*A*Y*I~
REF*D9*17312345600006351~
HI*ABK:J020*ABF:Z1159~
NM1*82*1*KILDARE*BEN****XX*1234567890~
PRV*PE*PXC*203BF0100Y~
NM1*77*2*KILDARE ASSOCIATES*****XX*1581234567~
N3*2345 OCEAN BLVD~
N4*MIAMI*FL*33111~
LX*1~
SV1*HC:99213*40*UN*1*11**1~
DTP*472*D8*20061003~
LX*2~
SV1*HC:87070*15*UN*1*11**1~
DTP*472*D8*20061003~
LX*3~
SV1*HC:99214*45*UN*1*11**2~
DTP*472*D8*20061010~
SE*48*0021~
GE*1*905~
IEA*1*000000905~
Validation
0
errors
0
warnings
Situational
No specification is loaded for transaction set 837; the message is shown positionally and only the envelope is checked.
ST01 837 no-spec
EDI view
837 (no guide)
ISANot in the specificationISA is not an interchange control segment.
Element 1
00
Element 2
Element 3
00
Element 4
Element 5
ZZ
Element 6
SUBMITTERS ID
Element 7
ZZ
Element 8
RECEIVERS ID
Element 9
061015
Element 10
1023
Element 11
^
Element 12
00501
Element 13
000000905
Element 14
1
Element 15
T
Element 16
:
ISA*00* *00* *ZZ*SUBMITTERS ID *ZZ*RECEIVERS ID *061015*1023*^*00501*000000905*1*T*:~
GSNot in the specificationGS is not an interchange control segment.
Element 1
HC
Element 2
SENDERCODE
Element 3
RECEIVERCODE
Element 4
20061015
Element 5
1023
Element 6
905
Element 7
X
Element 8
005010X222A1
GS*HC*SENDERCODE*RECEIVERCODE*20061015*1023*905*X*005010X222A1~
STNot in the specification
Element 1
837
Element 2
0021
Element 3
005010X222A1
ST*837*0021*005010X222A1~
BHTNot in the specification
Element 1
0019
Element 2
00
Element 3
244579
Element 4
20061015
Element 5
1023
Element 6
CH
BHT*0019*00*244579*20061015*1023*CH~
NM1Not in the specification
Element 1
41
Element 2
2
Element 3
PREMIER BILLING SERVICE
Element 4
—
Element 5
—
Element 6
—
Element 7
—
Element 8
46
Element 9
TGJ23
NM1*41*2*PREMIER BILLING SERVICE*****46*TGJ23~
PERNot in the specification
Element 1
IC
Element 2
JERRY
Element 3
TE
Element 4
3055550122
Element 5
EX
Element 6
231
PER*IC*JERRY*TE*3055550122*EX*231~
NM1Not in the specification
Element 1
40
Element 2
2
Element 3
KEY INSURANCE COMPANY
Element 4
—
Element 5
—
Element 6
—
Element 7
—
Element 8
46
Element 9
66783JJT
NM1*40*2*KEY INSURANCE COMPANY*****46*66783JJT~
HLNot in the specification
Element 1
1
Element 2
—
Element 3
20
Element 4
1
HL*1**20*1~
PRVNot in the specification
Element 1
BI
Element 2
PXC
Element 3
203BF0100Y
PRV*BI*PXC*203BF0100Y~
NM1Not in the specification
Element 1
85
Element 2
2
Element 3
BEN KILDARE SERVICE
Element 4
—
Element 5
—
Element 6
—
Element 7
—
Element 8
XX
Element 9
9876543210
NM1*85*2*BEN KILDARE SERVICE*****XX*9876543210~
N3Not in the specification
Element 1
234 SEAWAY ST
N3*234 SEAWAY ST~
N4Not in the specification
Element 1
MIAMI
Element 2
FL
Element 3
33111
N4*MIAMI*FL*33111~
REFNot in the specification
Element 1
EI
Element 2
587654321
REF*EI*587654321~
NM1Not in the specification
Element 1
87
Element 2
2
NM1*87*2~
N3Not in the specification
Element 1
2345 OCEAN BLVD
N3*2345 OCEAN BLVD~
N4Not in the specification
Element 1
MIAMI
Element 2
FL
Element 3
33111
N4*MIAMI*FL*33111~
HLNot in the specification
Element 1
2
Element 2
1
Element 3
22
Element 4
1
HL*2*1*22*1~
SBRNot in the specification
Element 1
P
Element 2
—
Element 3
2222-SJ
Element 4
—
Element 5
—
Element 6
—
Element 7
—
Element 8
—
Element 9
CI
SBR*P**2222-SJ******CI~
NM1Not in the specification
Element 1
IL
Element 2
1
Element 3
SMITH
Element 4
JANE
Element 5
—
Element 6
—
Element 7
—
Element 8
MI
Element 9
JS00111223333
NM1*IL*1*SMITH*JANE****MI*JS00111223333~
N3Not in the specification
Element 1
236 N MAIN ST
N3*236 N MAIN ST~
N4Not in the specification
Element 1
MIAMI
Element 2
FL
Element 3
33413
N4*MIAMI*FL*33413~
DMGNot in the specification
Element 1
D8
Element 2
19430501
Element 3
F
DMG*D8*19430501*F~
NM1Not in the specification
Element 1
PR
Element 2
2
Element 3
KEY INSURANCE COMPANY
Element 4
—
Element 5
—
Element 6
—
Element 7
—
Element 8
PI
Element 9
999996666
NM1*PR*2*KEY INSURANCE COMPANY*****PI*999996666~
N3Not in the specification
Element 1
3333 OCEAN ST
N3*3333 OCEAN ST~
N4Not in the specification
Element 1
SOUTH MIAMI
Element 2
FL
Element 3
33000
N4*SOUTH MIAMI*FL*33000~
REFNot in the specification
Element 1
G2
Element 2
KA6663
REF*G2*KA6663~
HLNot in the specification
Element 1
3
Element 2
2
Element 3
23
Element 4
0
HL*3*2*23*0~
PATNot in the specification
Element 1
19
PAT*19~
NM1Not in the specification
Element 1
QC
Element 2
1
Element 3
SMITH
Element 4
TED
NM1*QC*1*SMITH*TED~
N3Not in the specification
Element 1
236 N MAIN ST
N3*236 N MAIN ST~
N4Not in the specification
Element 1
MIAMI
Element 2
FL
Element 3
33413
N4*MIAMI*FL*33413~
DMGNot in the specification
Element 1
D8
Element 2
19730501
Element 3
M
DMG*D8*19730501*M~
CLMNot in the specification
Element 1
26463774
Element 2
100
Element 3
—
Element 4
—
Element 5
11:B:1
Element 6
Y
Element 7
A
Element 8
Y
Element 9
I
CLM*26463774*100***11:B:1*Y*A*Y*I~
REFNot in the specification
Element 1
D9
Element 2
17312345600006351
REF*D9*17312345600006351~
HINot in the specification
Element 1
ABK:J020
Element 2
ABF:Z1159
HI*ABK:J020*ABF:Z1159~
NM1Not in the specification
Element 1
82
Element 2
1
Element 3
KILDARE
Element 4
BEN
Element 5
—
Element 6
—
Element 7
—
Element 8
XX
Element 9
1234567890
NM1*82*1*KILDARE*BEN****XX*1234567890~
PRVNot in the specification
Element 1
PE
Element 2
PXC
Element 3
203BF0100Y
PRV*PE*PXC*203BF0100Y~
NM1Not in the specification
Element 1
77
Element 2
2
Element 3
KILDARE ASSOCIATES
Element 4
—
Element 5
—
Element 6
—
Element 7
—
Element 8
XX
Element 9
1581234567
NM1*77*2*KILDARE ASSOCIATES*****XX*1581234567~
N3Not in the specification
Element 1
2345 OCEAN BLVD
N3*2345 OCEAN BLVD~
N4Not in the specification
Element 1
MIAMI
Element 2
FL
Element 3
33111
N4*MIAMI*FL*33111~
LXNot in the specification
Element 1
1
LX*1~
SV1Not in the specification
Element 1
HC:99213
Element 2
40
Element 3
UN
Element 4
1
Element 5
11
Element 6
—
Element 7
1
SV1*HC:99213*40*UN*1*11**1~
DTPNot in the specification
Element 1
472
Element 2
D8
Element 3
20061003
DTP*472*D8*20061003~
LXNot in the specification
Element 1
2
LX*2~
SV1Not in the specification
Element 1
HC:87070
Element 2
15
Element 3
UN
Element 4
1
Element 5
11
Element 6
—
Element 7
1
SV1*HC:87070*15*UN*1*11**1~
DTPNot in the specification
Element 1
472
Element 2
D8
Element 3
20061003
DTP*472*D8*20061003~
LXNot in the specification
Element 1
3
LX*3~
SV1Not in the specification
Element 1
HC:99214
Element 2
45
Element 3
UN
Element 4
1
Element 5
11
Element 6
—
Element 7
2
SV1*HC:99214*45*UN*1*11**2~
DTPNot in the specification
Element 1
472
Element 2
D8
Element 3
20061010
DTP*472*D8*20061010~
SENot in the specification
Element 1
48
Element 2
0021
SE*48*0021~
GENot in the specificationGE is not an interchange control segment.
Element 1
1
Element 2
905
GE*1*905~
IEANot in the specificationIEA is not an interchange control segment.
Element 1
1
Element 2
000000905
IEA*1*000000905~
Form
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